When your ileostomy is short-term, it usually means all of your large intestine was removed but you still have at least part of your rectum. f you have surgery on part of your large intestine, your doctor may want the rest of your intestine to rest for a while. You will use the ileostomy while you recover from this surgery. When you do not need it anymore, you will have another surgery to reattach the ends of the small intestine, and you will no longer need the ileostomy.

You will need to use it long-term if all of your large intestine and rectum have been removed.

To create the ileostomy, the surgeon makes a small surgical cut in the wall of your belly. Part of your small intestine that is farthest from your stomach is brought up and used to make an opening, called a stoma. When you look at your stoma, you are actually looking at the lining of your intestine. It looks a lot like the inside of your cheek.

Sometimes, an ileostomy is done as the first step in forming an ileal anal reservoir (called a J-pouch).

Why the Procedure Is Performed

Ileostomy is done when problems with your large intestine cannot be treated without surgery.

Many different problems may lead to the need for this surgery. Some are:

Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.

Eat high fiber foods and drink 6 to 8 glasses of water every day.

The day before your surgery:

Eat a light breakfast and lunch.

You may be asked to drink only clear liquids such as broth, clear juice, and water after noon.

Do NOT drink anything after midnight, including water. Sometimes you will not be able to drink anything for up to 12 hours before surgery.

Your doctor or nurse may ask you to use enemas or laxatives to clear out your intestines. They will give you instructions.

On the day of your surgery:

Take the drugs your doctor told you to take with a small sip of water.

Your doctor or nurse will tell you when to arrive at the hospital.

After the Procedure

You will be in the hospital for 3 to 7 days. You may have to stay longer if your ileostomy was an emergency operation.

You may be able to suck on ice chips on the same day as your surgery to ease your thirst. By the next day, you will probably be allowed to drink clear liquids. Your doctor or nurse will slowly add thicker fluids and then soft foods as your bowels begin to work again. You may be eating again 2 days after your surgery.

Outlook (Prognosis)

Most people who have an ileostomy are able to do most of the activities they were doing before their surgery. This includes most sports, travel, gardening, hiking, and other outdoor activities, and most types of work.

If you have a chronic condition, such as Crohn's disease or ulcerative colitis, you may need ongoing medical treatment.